An Examination of Interactions between Hospice Health Care Providers and Adolescents with a Parent in Hospice.

An Examination of Interactions between Hospice Health Care Providers and Adolescents with a Parent in Hospice.
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DOI:
10.1097/njh.0000000000000247
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发表时间:
2016-08
期刊:
Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association
影响因子:
--
通讯作者:
Mayo MM
Mayo MM
中科院分区:
其他
文献类型:
--
作者:
Mayo MM

文献摘要

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与青少年生活在一个垂死的父母进行了检查,以确定类型的互动的青少年与临终关怀医疗团队的成员。确定了四种类型的交互:无交互、传递交互、传递交互和正式交互。结果显示,大部分的青少年没有与安宁疗护团队接触,或只与提供者有短暂的互动。一些青少年报告与一个或多个临终关怀医疗团队成员有更多的接触,一些青少年接受了临终关怀医疗团队或外部提供者的正式咨询服务。总的来说,由于后勤或青少年认为临终关怀服务只针对垂死的病人,而不是他们的家人,接触有限。基于这些发现,策略,以增加青少年和临终关怀医疗团队之间的参与进行了讨论。
Interviews conducted with adolescents living with a dying parent were examined to identify the type of interactions the adolescents had with members of a hospice healthcare team. Four types of interactions were identified: No Interactions, In-passing Interactions, Engaged Interactions, and Formal Interactions. Results indicated that most of the adolescents had no contact with the hospice healthcare team or interacted with providers only briefly. Some adolescents reported more engagement with one or more hospice healthcare team members, and a few received formal counseling services from the hospice healthcare team or outside provider. Overall, limited contact occurred because of logistics or because the teens perceived that hospice services were exclusively targeted to dying patients, not their families. Based on these findings, strategies to increase engagement between adolescents and hospice healthcare team are discussed.